How much rates vary
Facilitymedian $1,288 · 10th to 90th $562 to $3,548Professionalmedian $832 · 10th to 90th $525 to $9,772
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $2,137.96 Typical High $4,265.80 | Facility | None | $562.34 | $2,137.96 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,862.09 | Professional | None | $776.25 | $912.01 | $1,862.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $707.95 Median $707.95 Typical High $794.33 | Professional | RR · Rental | $707.95 | $707.95 | $794.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $588.84 | Professional | UE · Used equipment | $524.81 | $524.81 | $588.84 |
Blue Shield Setting Facility Modifier None Typical Low $758.58 Median $1,862.09 Typical High $3,090.30 | Facility | None | $758.58 | $1,862.09 | $3,090.30 |
Blue Shield Setting Professional Modifier None Typical Low $1,412.54 Median $2,630.27 Typical High $4,786.30 | Professional | None | $1,412.54 | $2,630.27 | $4,786.30 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,023.29 | Professional | None | $676.08 | $741.31 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $676.08 Median $1,288.25 Typical High $1,412.54 | Professional | None | $676.08 | $1,288.25 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $1,096.48 Typical High $2,238.72 | Professional | None | $776.25 | $1,096.48 | $2,238.72 |
Lucent Health Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $9,772.37 | Professional | None | $6,606.93 | $6,606.93 | $9,772.37 |
Molina Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $724.44 Typical High $1,288.25 | Facility | None | $389.05 | $724.44 | $1,288.25 |
Providence Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,584.89 | Facility | None | $1,348.96 | $1,348.96 | $1,584.89 |
United Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $1,621.81 | Professional | None | $549.54 | $691.83 | $1,621.81 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Where California sits
The same service costs 2.4 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 24th of 51
$832
HI $1,349DE $562
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.